Abstract：
Modern contraceptive use effectively prevents unwanted pregnancies, promoting maternal and child health and improving the socio-economic well-being of women and their families. Women\'s autonomy has been shown to increase the uptake of modern contraception use. This research aimed to investigate the relationship between measures of women\'s autonomy and modern contraception use among partnered women in Zambia.
This cross-sectional survey study used data from the health census, the 2018 Zambia Demographic Health Survey. We measured women\'s autonomy using three indices: women\'s participation in decision-making, women\'s attitude towards wife-beating and women\'s household status. Information from 6727 women in a relationship, not pregnant, not planning pregnancy and aged between 15 and 49 years old were analyzed using descriptive statistics and adjusted odds ratios (AOR).
The mean age of respondents was 32 years. Most women lived in rural areas (65%), and 81% were protestant. Current modern contraception use among partnered women was 8.8%. Women\'s autonomy was significantly associated with modern contraception use. Women with moderate autonomy (AOR = 1.054, P value = 0.004, 95% CI 1.048-1.312) and high autonomy (AOR = 1.031, P value = 0.001, 95% CI 1.013-1.562) had higher odds of using modern contraception compared to those with low autonomy. Other factors related to modern contraception use included a higher level of education (AOR = 1.181, P value = 0.012, 95% CI 1.091-1.783), increased wealth index (AOR = 1.230, P value = 0.006, 95% CI 1.105-1.766) and age, 15-24 (AOR = 1.266, P value = 0.007, 95% CI 1.182-2.113,) and 25-34 (AOR = 1.163, P value = 0.002, 95% CI 1.052-1.273).
This study argues that increasing women\'s assertiveness to make independent decisions within the household is cardinal to enhancing the uptake of modern contraception in Zambia and other low-and-middle-income countries. Governments and other stakeholders must therefore consider rolling out programs to boost women\'s autonomy, which in turn would support gender equality and reproductive health.
This cross-sectional survey study used data from the health census, the 2018 Zambia Demographic Health Survey. We measured women\'s autonomy using three indices: women\'s participation in decision-making, women\'s attitude towards wife-beating and women\'s household status. Information from 6727 women in a relationship, not pregnant, not planning pregnancy and aged between 15 and 49 years old were analyzed using descriptive statistics and adjusted odds ratios (AOR).
The mean age of respondents was 32 years. Most women lived in rural areas (65%), and 81% were protestant. Current modern contraception use among partnered women was 8.8%. Women\'s autonomy was significantly associated with modern contraception use. Women with moderate autonomy (AOR = 1.054, P value = 0.004, 95% CI 1.048-1.312) and high autonomy (AOR = 1.031, P value = 0.001, 95% CI 1.013-1.562) had higher odds of using modern contraception compared to those with low autonomy. Other factors related to modern contraception use included a higher level of education (AOR = 1.181, P value = 0.012, 95% CI 1.091-1.783), increased wealth index (AOR = 1.230, P value = 0.006, 95% CI 1.105-1.766) and age, 15-24 (AOR = 1.266, P value = 0.007, 95% CI 1.182-2.113,) and 25-34 (AOR = 1.163, P value = 0.002, 95% CI 1.052-1.273).
This study argues that increasing women\'s assertiveness to make independent decisions within the household is cardinal to enhancing the uptake of modern contraception in Zambia and other low-and-middle-income countries. Governments and other stakeholders must therefore consider rolling out programs to boost women\'s autonomy, which in turn would support gender equality and reproductive health.
摘要：
背景：现代避孕药具的使用有效地防止了意外怀孕，促进妇幼保健，改善妇女及其家庭的社会经济福祉。妇女的自主性已被证明可以增加现代避孕方法的使用。本研究旨在调查赞比亚伴侣妇女的自主措施与现代避孕方法之间的关系。
方法：这项横断面调查研究使用了来自健康普查的数据，2018年赞比亚人口健康调查。我们使用三个指标衡量妇女的自主性：妇女参与决策，妇女对殴打妻子的态度和妇女的家庭地位。6727名恋爱女性的信息，没有怀孕,我们使用描述性统计和校正比值比(AOR)对未计划妊娠和年龄在15~49岁之间的患者进行了分析.
结果：受访者的平均年龄为32岁。大多数妇女生活在农村地区（65%），81%是新教徒。目前，伴侣妇女的现代避孕使用率为8.8％。妇女的自主性与现代避孕方法的使用显著相关。具有中等自主性（AOR=1.054，P值=0.004，95％CI1.048-1.312）和高度自主性（AOR=1.031，P值=0.001，95％CI1.013-1.562）的女性使用现代避孕方法的可能性较高。与现代避孕相关的其他因素包括较高的教育水平（AOR=1.181，P值=0.012，95％CI1.091-1.783）。财富指数增加(AOR=1.230，P值=0.006，95%CI1.105-1.766)和年龄，15-24（AOR=1.266，P值=0.007，95%CI1.182-2.113，）和25-34（AOR=1.163，P值=0.002，95%CI1.052-1.273）。
结论：这项研究认为，在赞比亚和其他中低收入国家，提高妇女在家庭中做出独立决定的自信是提高现代避孕方法的主要因素。因此，政府和其他利益攸关方必须考虑推出提高妇女自主权的计划，这反过来将支持性别平等和生殖健康。
方法：这项横断面调查研究使用了来自健康普查的数据，2018年赞比亚人口健康调查。我们使用三个指标衡量妇女的自主性：妇女参与决策，妇女对殴打妻子的态度和妇女的家庭地位。6727名恋爱女性的信息，没有怀孕,我们使用描述性统计和校正比值比(AOR)对未计划妊娠和年龄在15~49岁之间的患者进行了分析.
结果：受访者的平均年龄为32岁。大多数妇女生活在农村地区（65%），81%是新教徒。目前，伴侣妇女的现代避孕使用率为8.8％。妇女的自主性与现代避孕方法的使用显著相关。具有中等自主性（AOR=1.054，P值=0.004，95％CI1.048-1.312）和高度自主性（AOR=1.031，P值=0.001，95％CI1.013-1.562）的女性使用现代避孕方法的可能性较高。与现代避孕相关的其他因素包括较高的教育水平（AOR=1.181，P值=0.012，95％CI1.091-1.783）。财富指数增加(AOR=1.230，P值=0.006，95%CI1.105-1.766)和年龄，15-24（AOR=1.266，P值=0.007，95%CI1.182-2.113，）和25-34（AOR=1.163，P值=0.002，95%CI1.052-1.273）。
结论：这项研究认为，在赞比亚和其他中低收入国家，提高妇女在家庭中做出独立决定的自信是提高现代避孕方法的主要因素。因此，政府和其他利益攸关方必须考虑推出提高妇女自主权的计划，这反过来将支持性别平等和生殖健康。
